{"product_id":"inisync-combination-tablets-brand-name","title":"INISYNC Combination Tablets [Brand Name]","description":"\u003cdiv\u003e\n\u003cstrong\u003e\u003cspan style=\"color: #ff2a00;\"\u003e\u003cem\u003eATTENTION\u003c\/em\u003e\u003c\/span\u003e\u003c\/strong\u003e\u003cbr\u003e\u003cstrong\u003e\u003cspan style=\"color: #ff2a00;\"\u003ePlease check countries we ship currently  at the  following URL \u003c\/span\u003e\u003c\/strong\u003e\u003cbr\u003e\u003ca href=\"https:\/\/zen-pharmacy-japan.com\/pages\/countries-we-ship-currently\" title=\"Countries we ship currently\" target=\"_blank\"\u003ehttps:\/\/zen-pharmacy-japan.com\/pages\/countries-we-ship-currently\u003c\/a\u003e\u003cbr\u003e\u003cstrong style=\"color: #0000ff;\"\u003ePlease read \"Drug Information\" before purchase.\u003c\/strong\u003e\u003cbr\u003e\u003ca href=\"https:\/\/cdn.shopify.com\/s\/files\/1\/0743\/1759\/4876\/files\/INISYNC_Combination_Tablets.pdf?v=1789385922\" title=\"INISYNC Combination Tablets [Brand Name]\" rel=\"noopener\" target=\"_blank\"\u003e\u003cimg src=\"https:\/\/cdn.shopify.com\/s\/files\/1\/0011\/1689\/7343\/files\/230417_DrugInfomation_480x480.jpg?v=1681699621\" alt=\"\"\u003e\u003c\/a\u003e\u003cbr\u003e\u003cstrong style=\"color: #ff0000;\"\u003eActive ingredient\u003c\/strong\u003e\u003cbr\u003eAlogliptin benzoate\u003cbr\u003eMetformin hydrochloride\u003cbr\u003e\n\u003c\/div\u003e\n\u003cdiv\u003e\n\u003cspan style=\"color: #ff2a00;\"\u003e\u003cstrong\u003eBrand name medicine\u003c\/strong\u003e\u003c\/span\u003e\u003cbr\u003eINISYNC\u003cbr\u003e\u003cstrong style=\"color: #ff0000;\"\u003eEffects of this medicine\u003c\/strong\u003e\u003cbr\u003e\n\u003cp\u003e・This medicine inhibits the enzyme (DPP-4) which catalyzes decomposition of incretin, a hormone acting to maintain constant blood glucose level, thereby stimulating insulin secretion when blood glucose levels are high. In addition, it suppresses glucose formation in liver. These actions improve blood glucose control.\u003cbr\u003e・It is usually used to treat type 2 diabetes mellitus.\u003cbr\u003e\u003cstrong style=\"color: #ff0000;\"\u003eDosing schedule (How to take this medicine)\u003cbr\u003e\u003c\/strong\u003e ・In general, for adults, take 1 tablet at a time, once a day, right before or after meal. \u003cbr\u003e・Strictly follow the instructions.\u003cbr\u003e・If you miss a dose, take the missed dose when you have a next meal. If it is almost time for the next dose, skip the missed dose and follow your regular dosing schedule. You should never take two doses at one time.\u003cbr\u003e\u003cstrong style=\"color: #ff0000;\"\u003eBefore using this medicine, be sure to tell your doctor and pharmacist\u003cbr\u003e\u003c\/strong\u003e・If you have previously experienced any allergic reactions (itch, rash, etc.) to any medicines or foods.\u003cbr\u003e・If you have a history of lactic acidosis.\u003cbr\u003e・If you have renal\/liver\/heart\/lung disease, type 1 diabetes mellitus or infection.\u003cbr\u003e・If you are on hemodialysis or peritoneal dialysis.\u003cbr\u003e・If you have hypoxemia (breathing difficulty, bluish purple discoloration of lips\/limbs, decreased\/loss of consciousness, palpitation).\u003cbr\u003e・If you have dehydration.\u003cbr\u003e・If you may be in a state of dehydration (patients with gastrointestinal disorders such as diarrhea\/vomiting, difficulty in oral intake).\u003cbr\u003e・If you are in a state of ketosis (nausea, sweet-sour breath, overbreathing), diabetic coma or precoma.\u003cbr\u003e・If you are in a pre- or post-operative state.\u003cbr\u003e・If you have a major injury.\u003cbr\u003e・If you are malnourished, starving or debilitated.\u003cbr\u003e・If you have pituitary gland\/adrenal function abnormality.\u003cbr\u003e・If you have undergone laparotomy or experienced ileus.\u003cbr\u003e・If you tend to have hypoglycemia (patients with irregular eating habits, having insufficient food, doing strenuous muscle exercise).\u003cbr\u003e・If you are a heavy drinker.\u003cbr\u003e・If you are pregnant, possibly pregnant or breastfeeding.\u003cbr\u003e・If you are taking any other medicinal products. (Some medicines may interact to enhance or diminish medicinal effects. Beware of over-the-counter medicines and dietary supplements as well as other prescription medicines.)\u003cbr\u003e\u003cstrong style=\"color: #ff0000;\"\u003ePrecautions while taking this medicine\u003cbr\u003e\u003c\/strong\u003e・Strictly follow the instructions on dietary\/exercise therapy.\u003cbr\u003e・This medicine may cause serious lactic acidosis (feeling unwell, vomiting, abdominal pain, diarrhea, general malaise, muscle pain, hyperventilation). Extra attention should be paid to the elderly over 75 years old. If these symptoms appear, consult with the doctor immediately.\u003cbr\u003e・Patients with renal disease should take renal function test periodically. Especially, the elderly should take this test more frequently.\u003cbr\u003e・Patients with liver disease should take liver function test periodically because they have a possibility that delayed lactic acid decomposition in liver is likely to cause lactic acidosis. \u003cbr\u003e・Especially, the elderly should take this test more frequently.\u003cbr\u003e・If dehydration symptoms (thirst, decreased body weight, dizziness on standing up, dizziness, fatiguability, general weakness, cramp of limbs) occur, discontinue to take this medicine and consult with your doctor immediately.\u003cbr\u003e・If you are taking medicine with diuretic effects (diuretics, SGLT2 inhibitors), pay extra attention to dehydration.\u003cbr\u003e・Pay attention that an excessive alcohol intake decreases lactic metabolism and is likely to increase the risk of lactic acidosis.\u003cbr\u003e・When you are feeling unwell (sick day) such as fever, diarrhea, vomiting or insufficient intake of food, dehydration state is suspected. Discontinue to take this medicine and consult with your doctor.\u003cbr\u003e・If you are receiving an iodine contrast agent test, you may have lactic acidosis, so this medicine should be temporarily discontinued before the test. Also, do not take this medicine for 48 hours after the iodine contrast agent test.\u003cbr\u003e・If hypoglycemic symptoms (hungry feeling, cold sweat, grow pale, fatiguability, tremor in limbs, convulsion, decreased consciousness) occur, take carbohydrate-containing foods or sugar in general.\u003cbr\u003e・If you are taking this medicine concomitantly with an alpha-glucosidase inhibitor (medicines which delay absorption of sugar such as acarbose, voglibose and miglitol), ingest glucose.\u003cbr\u003e・Inform your family members of the precaution of hypoglycemia.\u003cbr\u003e・Make sure to inform your family and the persons around you that you are taking an anti-diabetic medicine.\u003cbr\u003e・Pay extra attention that hypoglycemia while working at heights or driving a car may induce an accident.\u003cbr\u003e・This medicine may cause acute pancreatitis (persistent severe abdominal pain, vomiting as initial symptoms). If these symptoms occur, consult with your doctor immediately.\u003cbr\u003e・If you visit another doctor or buy other medicines at a pharmacy, make sure to inform your doctor or pharmacist that you are using this medicine.\u003cbr\u003e\u003cstrong style=\"color: #ff0000;\"\u003eStorage conditions and other information\u003cbr\u003e\u003c\/strong\u003e・Keep out of the reach of children. Store at a room temperature (1 to 30 degrees Celsius) away from direct sunlight, heat and moisture.\u003cbr\u003e・Discard the remainder. Do not store them. If you do not know how to discard them, consult with your pharmacy or medical institution. Do not give this medicine to others.\u003cbr\u003e\u003c\/p\u003e\n\u003c\/div\u003e","brand":"ZEN PHARMACY JAPAN","offers":[{"title":"1 sheet (10 tablets)","offer_id":51305180233980,"sku":"3969105F1023-1","price":4746.0,"currency_code":"JPY","in_stock":false},{"title":"10 sheets (100 tablets)","offer_id":51305180266748,"sku":"3969105F1023-2","price":37968.0,"currency_code":"JPY","in_stock":false}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0743\/1759\/4876\/files\/1f8d5ee0de3eca2249d035b251a6542e.jpg?v=1789387291","url":"https:\/\/zen-pharmacy-japan.com\/products\/inisync-combination-tablets-brand-name","provider":"ZEN PHARMACY JAPAN","version":"1.0","type":"link"}